Dispatcher Aid Enhances Child Outcomes in Bystander CPR
Dispatcher assistance in CPR improves neurological outcomes in children with cardiac arrest
FRIDAY, May 2, 2014 (HealthDay News) -- Dispatcher assistance in bystander cardiopulmonary resuscitation (CPR) improves neurological outcomes in children with out-of-hospital cardiac arrest (OHCA), according to research published online April 30 in the Journal of the American Heart Association.
Yoshikazu Goto, M.D., Ph.D., of Kanazawa University Hospital in Japan, and colleagues conducted a prospective, population-based cohort study involving data for 5,009 children younger than 18 years. The authors sought to assess the effect of dispatcher-assisted bystander CPR on neurological outcomes in children with OHCA.
The researchers found that, among children with OHCA, dispatcher assistance increased the bystander CPR provision rate (adjusted odds ratio [aOR], 7.51; 95 percent confidence interval [CI], 6.60 to 8.57) compared with no dispatcher assistance, and improved favorable neurological outcomes at one month compared with no bystander CPR (aOR, 1.81 [95 percent CI, 1.24 to 2.67] and 1.68 [95 percent CI, 1.07 to 2.62], respectively). Conventional CPR, but not chest-compression-only CPR, was associated with increased odds of favorable neurological outcomes at one month in children with cardiac arrest of any etiology (aOR, 2.30 [95 percent CI, 1.56 to 3.41] and 1.05 [95 percent CI, 0.67 to 1.64], respectively).
"Pediatric victims of out-of-hospital cardiac arrest can benefit from early bystander CPR, and dispatcher-directed CPR should be an integral part of a comprehensive strategy to treat children and adults who suffer cardiac arrest," writes the author of an accompanying editorial.